| Abdomen 1 View (74018) |
$160.66 |
$347 |
1.9× |
| Abdomen 2 views (74019) |
$179.18 |
$387 |
1.8× |
| Bone Imaging Limited Area (78300) |
$727.84 |
$1,572 |
1.9× |
| Brachytx Isodose Plan Simple (77316) |
$651.90 |
$1,408 |
1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) |
$953.78 |
$2,060 |
1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) |
$2,760.41 |
$5,962 |
2.0× |
| Chest 1 view (71045) |
$144.92 |
$313 |
1.7× |
| Chest 2 views (71046) |
$162.98 |
$352 |
1.9× |
| Clavicle complete (73000) |
$160.66 |
$347 |
1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) |
$289.84 |
$626 |
2.9× |
| CT abdomen and pelvis without and with contrast (74178) |
$775.99 |
$1,676 |
2.3× |
| CT abdomen and pelvis without contrast (74176) |
$484.30 |
$1,046 |
2.1× |
| CT abdomen w contrast (74160) |
$489.39 |
$1,057 |
2.9× |
| CT abdomen w wo contrast (74170) |
$566.25 |
$1,223 |
3.3× |
| CT abdomen w/o contrast (74150) |
$237.98 |
$514 |
2.3× |
| CT Angio Abdomen and Pelvis (74174) |
$920.44 |
$1,988 |
2.7× |
| CT Angio Chest (71275) |
$643.57 |
$1,390 |
3.8× |
| CT Angio Head (70496) |
$635.24 |
$1,372 |
3.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) |
$369.94 |
$799 |
2.2× |
| CT Angio Neck (70498) |
$635.24 |
$1,372 |
3.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) |
$573.66 |
$1,239 |
3.4× |
| CT cervical spine w/o contrast (72125) |
$336.60 |
$727 |
3.3× |
| CT chest w contrast (71260) |
$368.55 |
$796 |
2.2× |
| CT chest w/wo contrast (71270) |
$500.50 |
$1,081 |
2.9× |
| CT head/brain without and with contrast (70470) |
$335.68 |
$725 |
2.0× |
| CT heart no contrast quant eval coronry calcium (75571) |
$34.73 |
$75 |
0.4× |
| CT iac w contrast (70481) |
$569.03 |
$1,229 |
3.3× |
| CT lower ext w/o (73700) |
$319.93 |
$691 |
3.2× |
| CT lower extremity w/contrast material (73701) |
$456.52 |
$986 |
2.7× |
| CT lumbar spine w/o contrast (72131) |
$331.51 |
$716 |
3.3× |
| CT maxillofacial w contrast (70487) |
$324.10 |
$700 |
1.9× |
| CT maxillofacial wo contrast (70486) |
$286.60 |
$619 |
2.8× |
| CT neck tissue combo (70492) |
$497.26 |
$1,074 |
2.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) |
$568.56 |
$1,228 |
3.3× |
| CT orbits w/o contrast (70480) |
$481.98 |
$1,041 |
4.7× |
| CT pelvis w/o contrast (72192) |
$269 |
$581 |
2.6× |
| CT soft tissue neck w contrast (70491) |
$394.94 |
$853 |
2.3× |
| CT soft tissue neck w/o contrast (70490) |
$264.84 |
$572 |
2.6× |
| CT thoracic spine w/o contrast (72128) |
$300.49 |
$649 |
3.0× |
| CT thorax w/o contrast (71250) |
$269 |
$581 |
2.6× |
| CT upper ext wo (73200) |
$381.98 |
$825 |
3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) |
$819.51 |
$1,770 |
4.8× |
| Cta Abdomen (74175) |
$680.61 |
$1,470 |
4.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) |
$186.13 |
$402 |
1.8× |
| Doppler Fetal Mid Cerebral Artery (76821) |
$194 |
$419 |
1.9× |
| Echo exam of fetal heart (76825) |
$973.69 |
$2,103 |
1.8× |
| Fluoroscopy up to 1 hr (76000) |
$377.35 |
$815 |
1.6× |
| Forearm 2 views (73090) |
$160.66 |
$347 |
1.9× |
| Hand 2 views (73120) |
$160.66 |
$347 |
1.6× |
| Knee 3 Views (73562) |
$175.94 |
$380 |
2.1× |
| Liver & Spleen Imaging Static Only (78215) |
$727.84 |
$1,572 |
1.9× |
| Meckels Divert Exam (78290) |
$727.84 |
$1,572 |
1.9× |
| MRA head w/o contrast (70544) |
$560.23 |
$1,210 |
2.4× |
| MRA neck w contrast (70548) |
$678.76 |
$1,466 |
2.0× |
| Mra Neck W/O &W/Contrast Material (70549) |
$1,273.25 |
$2,750 |
3.8× |
| MRI abdomen w/o contrast (74181) |
$432.44 |
$934 |
1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) |
$975.08 |
$2,106 |
2.9× |
| MRI cervical spine w/o cont (72141) |
$556.06 |
$1,201 |
2.4× |
| MRI chest wo w contrast (71552) |
$1,103.33 |
$2,383 |
3.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) |
$773.21 |
$1,670 |
2.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$783.86 |
$1,693 |
3.4× |
| Mri Neck Spine W/O & W/Dye (72156) |
$678.76 |
$1,466 |
2.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) |
$713.02 |
$1,540 |
2.1× |
| MRI pelvis w/o & w contrast (72197) |
$870.44 |
$1,880 |
2.6× |
| MRI pelvis w/o contrast (72195) |
$792.66 |
$1,712 |
3.4× |
| MRI thoracic spine w/o contrast (72146) |
$580.14 |
$1,253 |
2.5× |
| MRI, abdomen, combo (74183) |
$882.48 |
$1,906 |
2.6× |
| MRI, dorsal spine combo (72157) |
$678.76 |
$1,466 |
2.0× |
| MRI, joint upper extrem (73221) |
$614.40 |
$1,327 |
2.7× |
| MRI, joint upper extrem combo (73223) |
$863.96 |
$1,866 |
2.5× |
| MRI, lumbar spine combo (72158) |
$968.60 |
$2,092 |
2.9× |
| Neck soft tissue (70360) |
$160.66 |
$347 |
1.9× |
| Pelvis 1 or 2 views (72170) |
$192.61 |
$416 |
1.9× |
| Peritoneogram Rs&I (74190) |
$897.29 |
$1,938 |
1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) |
$194 |
$419 |
1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) |
$160.66 |
$347 |
1.9× |
| Radex Calcaneus Minimum 2 Views (73650) |
$160.66 |
$347 |
1.9× |
| Radex elbow complete minimum 3 views (73080) |
$160.66 |
$347 |
1.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) |
$194 |
$419 |
1.9× |
| Radex fingr minimum 2 views (73140) |
$160.66 |
$347 |
1.9× |
| Radex foot complete minimum 3 views (73630) |
$160.66 |
$347 |
1.9× |
| Radex Hand Minimum 3 Views (73130) |
$194 |
$419 |
2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) |
$160.66 |
$347 |
1.9× |
| Radex shoulder complete minimum 2 views (73030) |
$160.66 |
$347 |
1.9× |
| Radex Sternum Minimum 2 Views (71120) |
$160.66 |
$347 |
1.9× |
| Radex Toe Minimum 2 Views (73660) |
$160.66 |
$347 |
1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) |
$194 |
$419 |
2.3× |
| Radiologic exam knee complete 4/more views (73564) |
$194 |
$419 |
1.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) |
$194 |
$419 |
1.9× |
| Radiologic examination femur 1 view (73551) |
$160.20 |
$346 |
1.9× |
| Radiologic examination femur minimum 2 views (73552) |
$160.66 |
$347 |
1.9× |
| Radiologic examination knee 1/2 views (73560) |
$160.66 |
$347 |
1.9× |
| Radiologic examination tibia & fibula 2 views (73590) |
$160.66 |
$347 |
1.9× |
| Scapula (73010) |
$194 |
$419 |
1.9× |
| Skull less than 4 views (70250) |
$194 |
$419 |
1.9× |
| Sternoclavicular joints (71130) |
$160.20 |
$346 |
1.9× |
| Thoracic spine 2 views (72070) |
$157.42 |
$340 |
1.6× |
| Ultrasound Exam Aaa Screen (76706) |
$194.92 |
$421 |
1.9× |
| Ultrasound, abdomen limited (76705) |
$194 |
$419 |
1.9× |
| Us chest (76604) |
$162.05 |
$350 |
1.6× |
| Us kidney transplant (76776) |
$194 |
$419 |
1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) |
$170.38 |
$368 |
1.7× |
| Us ob transvaginal (76817) |
$194 |
$419 |
1.9× |
| Us pelvic non ob complete (76856) |
$206.04 |
$445 |
2.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) |
$194 |
$419 |
1.9× |
| Us retroperitoneal complete (76770) |
$218.54 |
$472 |
2.2× |
| Us retroperitoneal limited (76775) |
$161.59 |
$349 |
1.6× |
| Us scrotum and contents (76870) |
$198.63 |
$429 |
2.0× |
| Us thyroid (76536) |
$214.37 |
$463 |
2.1× |
| Venography Renal Unilateral (75831) |
$5,310.15 |
$11,469 |
1.7× |
| Wrist 2 views (73100) |
$160.66 |
$347 |
1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$160.66 |
$347 |
1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) |
$163.44 |
$353 |
1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) |
$194 |
$419 |
1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) |
$194 |
$419 |
1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) |
$194 |
$419 |
1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) |
$160.66 |
$347 |
1.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) |
$194 |
$419 |
1.9× |
| X-ray eye for foreign body (70030) |
$160.66 |
$347 |
1.9× |
| X-ray humerus (73060) |
$160.66 |
$347 |
1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$194 |
$419 |
1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) |
$240.76 |
$520 |
2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) |
$160.66 |
$347 |
1.9× |
| X-ray thoracic spine 4 vw (72074) |
$194 |
$419 |
1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) |
$678.76 |
$1,466 |
2.0× |
| Xr c-spine 4 or 5 views (72050) |
$210.20 |
$454 |
2.1× |